Chapter 6. Nadia Rosenberg: A 53-Year-Old Russian Woman with Drug-Resistant Tuberculosis
- Lisa Hark PhD, RD Consultant2 and
- Horace DeLisser MD Associate Professor Assistant Dean3
Published Online: 27 APR 2009
Copyright © 2009 Blackwell Publishing Ltd
Achieving Cultural Competency: A Case-Based Approach to Training Health Professionals
How to Cite
Atochina-Vasserman, E. N. and Abramova, H. (2009) Nadia Rosenberg: A 53-Year-Old Russian Woman with Drug-Resistant Tuberculosis, in Achieving Cultural Competency: A Case-Based Approach to Training Health Professionals (eds L. Hark and H. DeLisser), Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781444311686.ch6
Department of Medicine, Jefferson Medical College, Thomas Jefferson University, Philadelphia, PA, USA
Cultural Competency and Spirituality, University of Pennsylvania School of Medicine, Philadelphia, PA, USA
- Published Online: 27 APR 2009
- Published Print: 10 APR 2009
Print ISBN: 9781405180726
Online ISBN: 9781444311686
- Russian woman with drug-resistant tuberculosis;
- importance of obtaining an interpreter;
- long waits in an ED - source of frustration;
- bringing an interpreter - for better diagnosis and communication;
- sputum sample - for acid-fast bacillus (AFB) staining and culture;
- chest x-ray - an upperlobe infiltrate - pulmonary tuberculosis (TB)
This chapter contains sections titled:
Given that the waits for nonemergent care in many EDs are usually long, why was Mrs. Rosenberg so impatient and decided to leave?
What issues might result for the patient and the physician when using a neighbor or family member as an interpreter?
Why would Mrs. Rosenberg say “okay” and “I understand” but fail to follow-up for further evaluation?
Why might Mrs. Rosenberg be so resistant to DOT for her tuberculosis?
Why might this request for family, friends, and other close contacts to be tested for TB be particularly upsetting to Mrs. Rosenberg?
Is it possible to make alternative arrangements for Mrs. Rosenberg to receive DOT for TB at home?